- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $1,066,460.00
| Facility | | $533,230.17 | $533,230.17 | $1,066,460.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $554,559.38
| Professional | | $533,230.17 | $533,230.17 | $554,559.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $422,884.77 / $996,193.91 / $1,681,807.96
| Facility | | $422,884.77 | $996,193.91 | $1,681,807.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $974,415.94
| Professional | | $533,230.17 | $533,230.17 | $974,415.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,794.80 / $533,794.80 / $639,546.60
| Professional | | $533,794.80 | $533,794.80 | $639,546.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,909.00 / $65,018.00 / $800,947.41
| Facility | | $1,909.00 | $65,018.00 | $800,947.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $453,245.64 / $453,245.64 / $533,230.17
| Professional | | $453,245.64 | $453,245.64 | $533,230.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $533,230.17 / $533,230.17 / $533,230.17
| Professional | | $533,230.17 | $533,230.17 | $533,230.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $709,296.75 / $996,193.91 / $996,193.91
| Facility | | $709,296.75 | $996,193.91 | $996,193.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $974,415.94 / $974,415.94 / $974,415.94
| Professional | | $974,415.94 | $974,415.94 | $974,415.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33,230.17 / $33,230.17 / $33,230.17
| Professional | | $33,230.17 | $33,230.17 | $33,230.17 |